AMB-BC Assessment and Evaluation
Questions and Answers19
A pediatric client was prescribed Tapazole, and the parents reported that they sometimes
missed doses. Which manifestation of non-adherence would the ambulatory nurse expect to
see? A.Palpitation
B. Constipation
C. Coldness
D. Weight gain - ANSWERS-Answer: A. Palpitation
Rationale: Tapazole® is used to treat hyperthyroidism. Signs and symptoms of hyperthyroidism
include palpitation, heat sensitivity, and weight loss. Nervousness, anxiety, and irritability are
also common, as are mood changes, difficulty sleeping, and feeling tired all the time.
The ambulatory care nurse is conducting an abdominal assessment on a client. When the nurse
palpates the lower border of the liver, the nurse asks the client to take a deep breath and hold
it. The client complains of a sharp pain located in the right upper quadrant. How should the
nurse document this finding in the medical health record?
A. Positive Blumberg sign.
B. Presence of pain at McBurney point. C. Positive Murphy sign.
D. Positive Psoas sign. - ANSWERS-Answer: C. Positive Murphy sign
Rationale: The Murphy sign is elicited when the client takes a deep breath while pressure is
applied to the right upper quadrant of the abdomen (pressure on the gallbladder). When the
deep breath is held due to the pain caused by exhalation, this sign is indicative of cholecystitis.
A client is taking gentamicin, which change in lab would be of the greatest concern to the
ambulatory care nurse.
A. BUN levels increased from 8 to 18.
B. Creatinine levels increased from 1.2 to 1.5
,C. Potassium levels increased from 4.5 to 3.5
D. Sodium levels increased from 135 to 145 - ANSWERS-Answer: B. Creatinine levels increased
from 1.2 to 1.5. Rationale: Gentamicin used concurrently with other nephrotoxic medicines,
such as vancomycin, cyclosporine, and amphotericin B, can enhance the risk of nephrotoxicity.
Creatinine and BUN levels reflect the health of the kidneys. BUN levels range from 8 to 24, and
creatinine levels range 0.5 to 1.2
The effect of serotonin syndrome is potentiated when taking St. John's wort, and which other
drug?
A. Albuterol
B. Digoxin
C. Paxil
D. Lopressor - ANSWERS-Answer: C. Paxil
Rationale: St. John's Wort may lead to serotonin syndrome if used with other serotonergic drugs
like selective serotonin reuptake inhibitors (Zoloft, Paxil, and Prozac).
The nurse in the pediatric clinic is conducting a screening using the Denver II test with a 9-
month-old infant. Which of the fine motor skills would the nurse assess?
A. Pincher grasp
B. Smile and stare
C. Cry with stranger
D. Banging two cubes - ANSWERS-Answer: A. Pincher grasp
Rationale: The examination consists of up to 125 questions, divided into the following sections:
the personal-social category, fine motor-adaptive, language category, and gross motor skills
category. The fine motor-adaptive section assesses coordination of the hands and eyes,
dexterity with little things, such as gripping (pincher grasp) or sketching.
The nurse is working in a substance abuse clinic. Which of the following statements indicates
that the nurse understands the signs and symptoms of cocaine and heroin use?
A. Clients using cocaine may have bradycardia.
, B. Clients using heroin may have constricted pupils.
C. Clients using cocaine may have constricted pupils.
D. Clients using heroin may have increased respiration. - ANSWERS-Answer: B. Clients using
heroin may have constricted pupils.
Rationale: Signs of heroin use are constricted pupils, extreme itching, warm, flushed skin,
forced, pressured speech, and shortness of breath.
The nurse in the clinic is caring for a client with nephrotic syndrome. Which of the following
indicates that the client is getting better?
A.Decrease ketone.
B.Increase protein in the blood.
C. Decrease protein levels in the urine.
D.Increase ketone. - ANSWERS-Answer: C. Decrease protein levels in the urine. Rationale: One
of the classic signs of nephrotic syndrome is proteinuria. One indication that the diagnosis of
nephrotic syndrome is resolved is a decrease in protein levels in the urine.
The nurse is caring for a client who recently found out that she was diagnosed with gonorrhea.
The client is concerned about others knowing of the diagnosis. Which of the following
statements by the nurse is correct?
A. "Don't worry, no one has to know; your secret is safe."
B. "We have to notify your partner."
C. "By law, we have to report it to the local health department."
D. "We must notify your employer." - ANSWERS-Answer: C. "By law, we have to report it to the
local health department."
Rationale: The gonococcal infection, more often known as gonorrhea, is an infection that is
spread by sexual contact and is caused by bacteria. It is required to be reported to the health
department.
The ambulatory care nurse is caring for a client with a cast to the left lower extremities. Which
of the following should the nurse identify as an early sign of compartment syndrome?
Questions and Answers19
A pediatric client was prescribed Tapazole, and the parents reported that they sometimes
missed doses. Which manifestation of non-adherence would the ambulatory nurse expect to
see? A.Palpitation
B. Constipation
C. Coldness
D. Weight gain - ANSWERS-Answer: A. Palpitation
Rationale: Tapazole® is used to treat hyperthyroidism. Signs and symptoms of hyperthyroidism
include palpitation, heat sensitivity, and weight loss. Nervousness, anxiety, and irritability are
also common, as are mood changes, difficulty sleeping, and feeling tired all the time.
The ambulatory care nurse is conducting an abdominal assessment on a client. When the nurse
palpates the lower border of the liver, the nurse asks the client to take a deep breath and hold
it. The client complains of a sharp pain located in the right upper quadrant. How should the
nurse document this finding in the medical health record?
A. Positive Blumberg sign.
B. Presence of pain at McBurney point. C. Positive Murphy sign.
D. Positive Psoas sign. - ANSWERS-Answer: C. Positive Murphy sign
Rationale: The Murphy sign is elicited when the client takes a deep breath while pressure is
applied to the right upper quadrant of the abdomen (pressure on the gallbladder). When the
deep breath is held due to the pain caused by exhalation, this sign is indicative of cholecystitis.
A client is taking gentamicin, which change in lab would be of the greatest concern to the
ambulatory care nurse.
A. BUN levels increased from 8 to 18.
B. Creatinine levels increased from 1.2 to 1.5
,C. Potassium levels increased from 4.5 to 3.5
D. Sodium levels increased from 135 to 145 - ANSWERS-Answer: B. Creatinine levels increased
from 1.2 to 1.5. Rationale: Gentamicin used concurrently with other nephrotoxic medicines,
such as vancomycin, cyclosporine, and amphotericin B, can enhance the risk of nephrotoxicity.
Creatinine and BUN levels reflect the health of the kidneys. BUN levels range from 8 to 24, and
creatinine levels range 0.5 to 1.2
The effect of serotonin syndrome is potentiated when taking St. John's wort, and which other
drug?
A. Albuterol
B. Digoxin
C. Paxil
D. Lopressor - ANSWERS-Answer: C. Paxil
Rationale: St. John's Wort may lead to serotonin syndrome if used with other serotonergic drugs
like selective serotonin reuptake inhibitors (Zoloft, Paxil, and Prozac).
The nurse in the pediatric clinic is conducting a screening using the Denver II test with a 9-
month-old infant. Which of the fine motor skills would the nurse assess?
A. Pincher grasp
B. Smile and stare
C. Cry with stranger
D. Banging two cubes - ANSWERS-Answer: A. Pincher grasp
Rationale: The examination consists of up to 125 questions, divided into the following sections:
the personal-social category, fine motor-adaptive, language category, and gross motor skills
category. The fine motor-adaptive section assesses coordination of the hands and eyes,
dexterity with little things, such as gripping (pincher grasp) or sketching.
The nurse is working in a substance abuse clinic. Which of the following statements indicates
that the nurse understands the signs and symptoms of cocaine and heroin use?
A. Clients using cocaine may have bradycardia.
, B. Clients using heroin may have constricted pupils.
C. Clients using cocaine may have constricted pupils.
D. Clients using heroin may have increased respiration. - ANSWERS-Answer: B. Clients using
heroin may have constricted pupils.
Rationale: Signs of heroin use are constricted pupils, extreme itching, warm, flushed skin,
forced, pressured speech, and shortness of breath.
The nurse in the clinic is caring for a client with nephrotic syndrome. Which of the following
indicates that the client is getting better?
A.Decrease ketone.
B.Increase protein in the blood.
C. Decrease protein levels in the urine.
D.Increase ketone. - ANSWERS-Answer: C. Decrease protein levels in the urine. Rationale: One
of the classic signs of nephrotic syndrome is proteinuria. One indication that the diagnosis of
nephrotic syndrome is resolved is a decrease in protein levels in the urine.
The nurse is caring for a client who recently found out that she was diagnosed with gonorrhea.
The client is concerned about others knowing of the diagnosis. Which of the following
statements by the nurse is correct?
A. "Don't worry, no one has to know; your secret is safe."
B. "We have to notify your partner."
C. "By law, we have to report it to the local health department."
D. "We must notify your employer." - ANSWERS-Answer: C. "By law, we have to report it to the
local health department."
Rationale: The gonococcal infection, more often known as gonorrhea, is an infection that is
spread by sexual contact and is caused by bacteria. It is required to be reported to the health
department.
The ambulatory care nurse is caring for a client with a cast to the left lower extremities. Which
of the following should the nurse identify as an early sign of compartment syndrome?
